Individual
CAROL ANNAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MORTON AVE, RIDLEY PARK, PA 19078-2409
(610) 521-1331
Mailing address
412 FIRST AVE, NEWTOWN SQUARE, PA 19073-4509
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000112L
PA
Other
Enumeration date
09/06/2014
Last updated
09/06/2014
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